Florida Healthy Kids

Children's Health Plan (CHIP)


Not all Florida Children's Health Insurance Program (CHIP) plans are alike. With ours, your child gets extras that other plans don't offer. View the list of benefits below to see all that our plan covers. Our FL Healthy Kids plan is for children and young adults up to age 19 whose families meet income requirements.

Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia.

Benefits & Features

Well and Sick Care

Get the care your child needs to grow up healthy, or to get better if he or she is injured or sick. That includes:

  • Choice of Doctor. Find a doctor you trust in our network.
  • Medicines. Fill your child's prescription at local pharmacies.
  • Shots and Vaccines. Routine shots can help keep your child healthy.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.

If your child has a special health care need, you can count on us. Our plan will provide the extra care and services he or she needs. Benefits include:

  • Mental Health. Counseling and other treatments are available.
  • Care Management. Personal support from an experienced professional.
  • Asthma and Allergy Care. Exams, testing and supplies are covered.
  • Diabetes Support. Needles, supplies, plus classes on managing diabetes.

Get the medical care and equipment you need to manage your child's health. For example, your child's care provider might recommend:

  • Equipment and Supplies. In-home medical equipment is covered.
  • Nurse Visits. Medical care to help your child safely recover at home.
  • Care Coordinator. Someone to get your child the services he or she needs to recover safely.

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

  • NurseLineSM. Speak with a registered nurse 24/7.
  • Nutrition Coaching. Helpful advice to improve your child's diet and meals.
  • Language Help. Translated medical materials are available at no cost.
  • Florida Quit for Life. Coaches and supplies to help break a tobacco habit.

Asthma and Allergy Care

Does your child have asthma or respiratory allergies? Then you may be on the watch for a breathing emergency.

Your child can be assigned a nurse with special knowledge of childhood breathing problems. Your child's nurse will:

  • Get to know your child.
  • Learn his or her triggers and activities.
  • Develop a customized treatment plan.

So your child will have:

  • Reduced symptoms.
  • Less need for emergency care.

Care Management

Does your child have a serious health problem? Then our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate doctor appointments.
  • Provide your child's care team with his or her medical records.

Your case manager will stay with your child throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure you or your child has support at home.

So you can focus on helping your child get better.

Choice of Doctor

Your child gets a primary care physician (PCP), who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

If your child doesn't have a doctor or if this doctor is not in our network, we can help you find a new one close to you.

Your PCP is your main doctor for:

  • Preventive care.
  • Treatment if you are sick or injured.
  • Referrals to specialists for certain conditions.

Diabetes Support

If your child has diabetes, we'll make life a little easier for him or her. Your child will get needed medicine, supplies and education.

Our diabetes program includes self-care tips for your child and classes to help your child manage diabetes. The content is focused on:

  • Planning healthy meals.
  • Managing medications.
  • Living a healthy lifestyle.

Hearing Care

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

We cover:

  • Exams.
  • Therapy.
  • Tests.

Hospitalization

This plan pays for all your child's expenses related to a hospital stay, so you can focus on helping your child rest and heal.

Our plan covers:

  • Nursing care.
  • Room and board.
  • Supplies and equipment.
  • Treatment and therapies.
  • Diagnostic tests and exams.

And after leaving the hospital, we make sure your child gets follow-up care to continue healing at home.

Lab and X-rays

Knowing what's wrong and finding it early can make all the difference for your child. Our plan covers:

  • Labs and testing.
  • X-rays, scans and other imaging.

We'll help you get the information needed to improve your child's health or be at his or her best.

Language Help

You can receive information in your preferred language. Just ask. We also have people at our customer service who speak more than one language. Chances are, we have someone who speaks your language.

Medicines

There are no copays for covered drugs.

Your child's prescriptions and refills are provided by our plan.

You can fill prescriptions at:

  • In Network Local pharmacies.
  • Services that deliver right to your door.

Member Services

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.

We can also help you find:

  • Primary Care Physicians and Specialists.
  • Local pharmacies.

Mental Health

Mental health is as important as physical health. That's why we have coverage for both.

NurseLine℠

Medical questions and situations sometimes happen at inconvenient times. When you have questions about your child's health, you can call a trained nurse 24 hours a day, 7 days a week.

Our NurseLine nurses will:

  • Listen to symptoms.
  • Guide you on caring for your child.
  • Advise you about getting care at a doctor visit or an urgent care center.
  • Help you know when to go to the emergency room.

Quitting Tobacco

You know the bad health effects of smoking. You know you need to quit. We support members who want to quit tobacco with coaches and supplies. The only thing they won't get from us is a lecture.

Shots and Vaccines

Routine shots help keep your child healthy.

So, our plan covers:

  • Recommended shots and vaccines.
  • Influenza shots.

Well Visits

Well visits with your doctor can help your child stay healthy. These visits can catch health problems early, so they can be treated.

Preventive services include:

  • Annual checkups for children.
  • Well-baby care, ages 5-17
  • Hearing screening.
  • Routine shots and tests.

There are no copayments for preventive care.

Member Resources

Member Resources
Check Eligibility

Enrollment

Call to enroll today.

8 a.m. to 7 p.m. EST

1-888-216-0015
TTY: 711

Questions

Already a member?

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Member Handbook